Comparison of Epidural and Systemic Tramadol for Analgesia Following Ovariohysterectomy

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Citações na Scopus
25
Tipo de produção
article
Data de publicação
2012
Título da Revista
ISSN da Revista
Título do Volume
Editora
AMER ANIMAL HOSPITAL ASSOC
Autores
MASTROCINQUE, Sandra
ALMEIDA, Tatiana F.
TATARUNAS, Angelica C.
IMAGAWA, Viviani H.
MATERA, Julia M.
FANTONI, Denise T.
Citação
JOURNAL OF THE AMERICAN ANIMAL HOSPITAL ASSOCIATION, v.48, n.5, p.310-319, 2012
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
The objective of the study was to compare epidural and systemic tramadol for postoperative analgesia in bitches undergoing ovariohysterectomy. Twenty animals, randomly divided into two groups, received either epidural (EPI) or intramuscular (IM) tramadol (2 mg/kg) 30 min before anesthetic induction. Analgesia, sedation, cardiorespiratory parameters, end-tidal isoflurane, blood catecholamines and cortisol, and arterial blood gases were measured at different time points up to 24 hr after agent administration. There were no differences between the two groups regarding cardiorespiratory parameters, end-tidal isoflurane, and pain scores. Two dogs in the IM and one in the EPI group required supplemental analgesia. Cortisol was increased (P<0.05) at 120 min (3.59 mu g/dL and 3.27 mu g/dL in the IM and EPI groups, respectively) and 240 min (2.45 mu g/dL and 2.54 mu g/dL in the IM and EPI groups, respectively) compared to baseline. Norepinephrine was also increased (P<0.05) at 120 min in both groups compared to baseline values. Epinephrine values were higher (P<0.05) in the IM group compared with the EPI group at 50 min, 120 min, and 1,440 min after tramadol administration. Epidural tramadol is a safe analgesic, but does not appear to have improved analgesic effects compared with IM administration. (J Am Anim Hosp Assoc 2012; 48:310-319. DOI 10.5326/JAAHA-MS-5795)
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Referências
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